Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,623.41 / $15,848.93	Facility		$1,412.54	$5,623.41	$15,848.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,918.31 / $7,762.47 / $19,498.45	Facility	50	$6,918.31	$7,762.47	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $1,230.27	Professional		$288.40	$467.74	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $1,659.59 / $3,630.78	Professional	50	$645.65	$1,659.59	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $316.23	Professional		$199.53	$223.87	$316.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $316.23 / $316.23	Professional	50	$316.23	$316.23	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,380.38	Professional		$501.19	$724.44	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $446.68 / $1,096.48	Professional	50	$346.74	$446.68	$1,096.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $741.31 / $5,754.40	Facility		$66.07	$741.31	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,380.38	Professional		$426.58	$602.56	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $549.54	Facility		$204.17	$281.84	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $1,047.13	Professional		$363.08	$575.44	$1,047.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $426.58	Professional		$234.42	$346.74	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $501.19	Professional		$194.98	$275.42	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,890.45	Facility		$54.95	$56.23	$3,890.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $436.52	Professional		$257.04	$257.04	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $478.63 / $912.01	Facility		$245.47	$478.63	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $1,071.52	Professional		$380.19	$575.44	$1,071.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,737.80	Professional		$1,621.81	$1,621.81	$1,737.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $467.74 / $707.95	Professional		$204.17	$467.74	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,818.38 / $7,585.78	Facility		$1,380.38	$2,818.38	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $954.99	Professional		$338.84	$489.78	$954.99